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Organization
PACIFIC SURGICAL SPECIALIST LLC
Active
Organization
PACIFIC SURGICAL SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN B KING MD (PRESIDENT)
(310) 462-8668
Entity
Organization
Contact information
Practice address
2345 E 8TH ST, SUITE 105, NATIONAL CITY, CA 91950-2800
(619) 609-4186
(619) 479-1006
Mailing address
2345 E 8TH ST, SUITE 105, NATIONAL CITY, CA 91950-2800
(619) 609-4186
(619) 479-1006
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A89447
CA
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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